DR. MATTHEW THOMAS KEIBLER (D.O.) – Surgery Physician, NPI 1649478538
Surgery Physician
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NPPES metrics only — not quality of care.
860 GENERAL SURGERY in TN
Provider Addresses for DR. MATTHEW THOMAS KEIBLER (D.O.)
1497 W Elk Ave
Suite 10
Elizabethton, TN 376432895
Phone: (423) 542-7440
Fax: (423) 542-7445
Type: Location
777 Kimole Ln Ste 220
Adrian, MI 492211400
Phone: (517) 263-6464
Fax: (517) 263-8223
Type: Location
First Assist Urgent Care, 1497, West Elk Avenue, Riovista, Elizabethton, Carter County, Tennessee, 37643, United States
SUITE 10
ELIZABETHTON, TN 376432895
Phone: (423) 542-7440
Fax: (423) 542-7445
Type: Mailing
Kimole Lane, Adrian, Lenawee County, Michigan, 49221, United States
ADRIAN, MI 492211400
Phone: (517) 263-6464
Fax: (517) 263-8223
Type: Location
4439 STATE ROUTE 159 STE 270
CHILLICOTHE, OH 456017502
Phone: (740) 779-4550
Fax: (740) 779-4569
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2023-01-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120904000744 | I | General Surgery | TN | TBD |
| I20190823000864 | I | General Surgery | MI | TBD |
| I20230109002558 | I | General Surgery | OH | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 64 | 34 | $0 |
| 99221 | Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 41 | 39 | $0 |
Insurance plans in this area (ZIP 37643)
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Group practice members
- 1
- 2
- 3
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | OH | |
| - | OH | |
| Physician Assistant | OH | |
| O T O L A R Y N G O L O G Y | OH | |
| Certified Nurse Midwife (Cnm) | OH | |
| Family Practice | OH | |
| Thoracic Surgery | OH | |
| Gastroenterology, Internal Medicine | OH | |
| Physician Assistant | OH | |
| Certified Registered Nurse Anesthetist (Crna) | OH |
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